Organization Active NPI

David J Elasky DDS PA

  • Dentist
  • Edina, MN
National Provider Identifier
1023143161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7863 Issued in MN
Legal business name
DAVID J ELASKY DDS PA
Practice address
7600 Parklawn Ste 101
Edina, MN 55435-5125
Phone
(952) 835-6000
Fax
(952) 835-7679
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David J Elasky, DDS
Title
President
Phone
(952) 835-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7863 MN Primary

Addresses

Primary practice location

7600 Parklawn Ste 101
Edina, MN 55435-5125

Mailing address

7729 Tanglewood Court
Edina, MN 55439-2565
Phone (952) 941-3637

National Provider Directory

National Provider Directory

Locations

7600 Parklawn Ave
Ste 101
Edina, MN 55435
Phone (952) 835-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023143161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 TANGLEWOOD COURT",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392565",
            "telephone_number": "952-941-3637",
            "fax_number": "952-941-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 PARKLAWN STE 101",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355125",
            "telephone_number": "952-835-6000",
            "fax_number": "952-835-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J ELASKY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELASKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-835-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "7863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.